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Information & Forms for Participants in City of Chico Benefits

 

Modifying Benefit Elections

After medical, dental, vision, and flexible spending account elections are made, Internal Revenue Service (IRS) regulations generally permit changing those elections only during the next open enrollment. However, if you experience a “qualifying event” during the year you may change certain benefit plan elections mid-year. The Human Resources & Risk Management Office must be notified of a qualifying event within 30 days of the event in order to makes changes to your elections. No exceptions to the 30 day notification deadline are permitted. A qualifying event allows you to add or remove yourself or dependents from the City’s health plans, but does not allow you to change the plan you are enrolled in. Changes to the plan you are enrolled in may only be made during the City’s Open Enrollment Period (October of each year). At the time the change is requested you may be required to submit proof of the qualifying event or evidence of other coverage.

Qualifying Events
Mid-year plan changes may only be done with a qualifying event (birth/adoption, marriage, divorce/legal separation, separation from service, loss of other coverage, ect.). You must notify the HR/RM Office of your qualifying event within 30 days of the event.

Open Enrollment
The City's Open Enrollment period will be in October of each calendar year. Changes made during Open Enrollment will become effective January 1 of the following year.

General Insurance Information

Applications/Change Forms

Benefits Guides

General Information

 

Anthem Blue Cross Medical Insurance

Anthem Customer Service

(800) 967-3015

www.anthem.com/ca/EIAHealth

Plan

Evidence of Coverage (EOC)

Summary of Benefits & Coverage (SBC)

Coverage Quick Reference Summary

EPO

2016 EPO EOC - Employees & Early Retirees

2016 EPO EOC - Retirees With Medicare

2017 EPO Summary of Benefits & Coverage (SBC)

2017 EPO Medical & Rx Summary

2017 EPO Medical & Rx Summary - Retirees with Medicare

HDHP

2016 HDHP EOC

2017 HDHP Summary of Benefits & Coverage (SBC)

2017 HDHP Medical & Rx Summary

PPO 80/20

2016 PPO 80/20 EOC - Employees & Early Retirees

2016 PPO 80/20 EOC - Employees & Early Retirees Out of CA

2016 PPO 80/20 EOC - Retirees With Medicare

2016 PPO 80/20 EOC - Retirees With Medicare Out of CA

2017 PPO 80/20 Summary of Benefits & Coverage (SBC)

2017 PPO 80/20 Medical & Rx Summary

2017 PPO 80/20 Medical & Rx Summary - Retirees with Medicare

PPO 90/10

2016 PPO 90/10 EOC - Employees & Early Retirees

2016 PPO 90/10 EOC - Employees & Early Retirees Out of CA

2016 PPO 90/10 EOC - Retirees With Medicare

2016 PPO 90/10 EOC - Retirees With Medicare Out of CA

2017 PPO 90/10 Summary of Benefits & Coverage (SBC)

2017 PPO 90/10 Medical & Rx Summary

2017 PPO 90/10 Medical & Rx Summary - Retirees with Medicare

Anthem Blue Cross PPO (Prudent Buyer) Provider Listings

Anthem Blue Cross General Information                  

Express Scripts

(800) 711-0917

https://www.express-scripts.com/

 

 

Carrum Health

Carrum Customer Service

(888) 855-7806

my.carrumhealth.com/EIAHealth

 

Sterling Health Savings Account (HSA)

Sterling Customer Service

(800) 617-4729

CustomerService@SterlingHSA.com

www.SterlingHSA.com

 

Delta Dental Insurance

Delta Dental Customer Service

(800) 765-6003

www.deltadentalins.com

 

VSP Vision Insurance

VSP Member Service (Effective 01/01/2015)

(800) 877-7195

https://www.vsp.com/

 

Employee Assistance Plan

MHN Customer Service

(800) 322-9707

www.mhn.com

 

Section 125 Flexible Benefits Program

Basic Pacific Customer Service

(800) 574-5448

customerservice@basicpacific.com

www.basicpacific.com

Flexible Spending Account Calculator

 

CAlPERS Retirement

CalPERS Customer Service

888 CalPERS (or 888-225-7377)

www.calpers.ca.gov

 

ICMA Deferred Compensation

Mark Tomasini, Retirement Plan Specialist

(866) 749-5180

mtomasini@icmarc.org

 

Lincoln Financial Group Life and Disability Insurance

Lincoln Financial Group

www.LFG.com